| NPI | 1124762927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019013854) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD R0302) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |